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General NPI Number Information
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NPI Number | 1780543447
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Entity Type | Individual
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Provider Name | CARMEN DE ANGELO
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Gender | Female
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 725 W ELLIOT RD
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City | GILBERT
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State | AZ
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Zip | 85233-5301
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Country | US
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Telephone | 602-767-7942
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Fax | 855-915-0244
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Provider Business Mailing Address
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Address Line | PO BOX 673557
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City | DALLAS
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State | TX
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Zip | 75267-3557
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Country | US
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Telephone | 317-502-3512
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Fax | 855-915-0244
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-477300
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License Number State | AZ
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